早产儿支气管肺发育不良营养管理专家共识

Expert consensus on nutritional management of preterm infants with bronchopulmonary dysplasia

摘要:

早产儿出生早期营养供给不足是支气管肺发育不良（BPD）发生的重要影响因素，并与其发生发展和最终临床结局密切相关。优化营养支持对降低BPD发生率和严重程度，促进患儿肺发育和神经系统预后至关重要。现基于国内外相关研究，采用证据推荐分级的评价方法（GRADE），制定BPD营养管理专家共识，从营养在BPD中的重要性、液体量、能量、肠内营养、肠外营养、出院后营养、营养监测和评估等7个方面进行阐述，旨在为临床医师提供BPD高危儿和确诊患儿的营养管理建议，以期减少BPD的发生及改善BPD患儿的近远期预后。

Abstract:

Inadequate nutrition supply in the early stage after birth is a risk factor for the development of bronchopulmonary dysplasia (BPD) in preterm infants, and it is also closely associated with the progression and clinical outcome of BPD. Optimized nutritional support is of great importance to reduce the incidence and severity of BPD and promote lung development and neurological prognosis. Based on the relevant studies in China and overseas, the expert consensus on BPD nutrition management is developed by the Grading of Recommendations Assessment, Development and Evaluation (GRADE) method. The consensus includes the following seven aspects: the importance of nutrition in BPD, fluid intake, energy intake, enteral nutrition, parenteral nutrition, post-discharge nutrition, and nutrition monitoring and evaluation.